DOI: http://dx.doi.org/10.18203/2349-2902.isj20192389

Study of non-mesh technique of Desarda for inguinal hernia

Atish Naresh Bansod, Manjunatha Jantli, Rohan Umalkar, Amir Ansari, Priyanka Charuhas Tayade, Neha Awachar

Abstract


Background: The tissue based techniques are still acceptable for primary inguinal hernia repair according to the European Hernia Society guidelines. Desarda’s no mesh technique, introduced in 2001, is a hernia repair method using an undetached strip of external oblique aponeurosis. This study compares the results with the studies done worldwide on Desarda’s technique.

Methods: A total 120 cases were studied for 2 years (2015-2017), the primary outcomes measured were postoperative pain scores on day 1,7,30 using visual analogue scale, time taken to return to basic activities, time measured from skin incision to skin closer. Complications like cord oedema, seroma, fever, surgical site infection, chronic groin pain and recurrence were evaluated.

Results: After a 15-month mean follow up period, 01 (0.83%) case had a recurrence among 120 patients. Mean operative time is 60 min; mean pain score on day-1, 7, 30 are 3.35, 0.9 and 0.008 respectively. Mean time taken to return back to work is 24 hours; complications like chronic groin pain, foreign bodysensation are not seen in single cases. These results are comparable with the studies done worldwide.

Conclusions: In Desarda’s technique of inguinal hernia repair does not use mesh, so no complication related with the foreign body are seen and postoperative pain is less, early return to basic activities and Postoperative complications are less.


Keywords


Desarda technique, Inguinal hernia repair, Postoperative complications

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References


Primatesta P, Golacre MJ. Inguinal hernia repair, incidence of elective and emergency surgery. Int J Epidemol. 1996;25:835-9.

Schools IG, Van Dijkman B, Butzelaar RM, Van Geldere D, Simons MP. Inguinal hernia repair in Amsterdam region. Hernia. 2001;5:37-40.

D'Amore, L. Long-term discomfort after plug and patch hernioplasty. Hernia. 2008;12(4):445-6.

Desarda MP. No-mesh inguinal hernia repair with continuous absorbable sutures: A dream or reality? (a study of 229 patients). Saudi J Gastroenterol. 2008;14(3):122.

Gilbert AI. Inguinal hernia repair: Biomaterials and suture less repair. Perspect Gen Surg. 1991;2:113–29.

Gilbert AI. suture less repair of inguinal hernia. Am J Surgery. 1992;163:331-5.

Hernia abstract book. 2015 Available from: https://www.europeanherniasocietv.eu/fileadmin/downloads/Abstract-Books/HerniaAbstractBook Milan2015.pdf. Accessed 15 February 2019.

Desarda MP, Ghosh MSA. Comparative Study of Open Mesh Repair and Desarda’s No-Mesh Repair in a District Hospital in India. East Central African J Surg. 2006;11(2):28-34.

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surgical Clinics of North America. 2003;83(5):1045-51.

Desarda MP. Comparative study of open mesh repair and Desardass no mesh repair in a set-up of a district hospital in India. Gert Afric Jor Surg. 2006;11(2):1-9.

Szopinski J, Dabrowiecki S, Pierscinski S. Desarda versus Lichtenstein technique for primary inguinal hernia treatment: 3year results of a randomized clinic trial, World J Surg. 2012;36(5):984e-92.

Youssef T, EI-AIfy K, Farid M. Randomized clinical trial of Desarda versus Lichtenstein repair for treatment of primary inguinal hernia. International J Surg. 2015;20:28-34.

Manyilirah W, Kijjambu S, Upoki A, Kiryabwire J. Comparison of non-mesh (Desarda) and mesh (Lichtenstein) methods for inguinal hernia repair among black African patients; a short-term double-blind RCT. Hernia. 2012;16(2):133-44.

Abbas Z, Bhat SK, Koul M, Bhat R. Hernia, Desarda, Lichtenstein, VAS. Desarda s no mesh repair versus lichtenstein s open mesh repair of inguinal hernia a comparative study. 2015;22(9035).

Rodriguez P, Herrera PP. Gonzalez OL, Alonso JR, Blanco HS. A Randomized Trial Comparing Lichtenstein Repair and No Mesh Desarda Repair for Inguinal Hernia: A Study of 1382 Patients. East Central African J Surg. 2013;18(2):18-25.

Gedam BS, Bansod PY, Kale VB, Shah Y, Akhtar M, A comparative study of Desarda's technique with Lichtenstein mesh repair in treatment of inguinal hernia: A prospective cohort study. Int J Surg. 2017;39:150-5.